Variation ranges were large for almost all anatomic parameters of the FT. Six cadavers (14.63%) in our study fulfilled one of the anatomic diagnostic criteria for tethered cord syndrome. Neurosurgeons must remember the normal variations in the anatomic features of this region when establishing the diagnosis of tethered cord syndrome or performing surgical procedures involving the caudal part of the dural sac.
Variation ranges were large for almost all anatomic parameters of the FT. Six cadavers (14.63%) in our study fulfilled one of the anatomic diagnostic criteria for tethered cord syndrome. Neurosurgeons must remember the normal variations in the anatomic features of this region when establishing the diagnosis of tethered cord syndrome or performing surgical procedures involving the caudal part of the dural sac.
INTRODUCTION: Head trauma is an important consequence of child abuse. Specific pathophysiological mechanisms in child abuse are responsible for the ''whiplash shaken-baby syndrome'', which would favour the occurrence of intracranial hemorrhages. CASE REPORT: We report the case of a child who developed epidural hematoma following minor-intensity head trauma. Initial diagnosis of child abuse was made, but subsequent investigation led to the diagnosis of hemophilia A. CONCLUSION: Even though epidural hematoma is not closely associated with child abuse, this aethiology must always be considered when the reported trauma mechanism is out of proportion to the magnitude of the encountered lesions.
Foram analisados prospectivamente 718 pacientes internados na Divisão de Clínica Neurocirúrgica do Hospital das Clínicas da Faculdade de Medicina da USP, entre fevereiro e novembro de 1998. Os objetivos foram constatar as principais complicações clínicas no pós-operatório de neurocirurgia, verificar prováveis fatores relacionados e discutir medidas preventivas. As cirurgias foram classificadas segundo o seu porte em quatro categorias: I-II-III-IV; I: até duas horas de duração, II: entre duas e quatro horas, III: entre quatro e seis horas e IV: acima de seis horas. Nestas cirurgias não foram incluídos os traumatismos craniencefálicos, descompressões neurais de carpo e tarso, biópsias de nervos e derivações ventrículo-peritoneais. Posteriormente, foram caracterizadas as intercorrências clínicas, durante a internação ou no retorno ambulatorial. As alterações mais frequentes foram broncopneumonia/atelectasia (26 pacientes), infecção urinária (12 pacientes), distúrbios do sódio sérico (11 pacientes), trombose venosa profunda e embolia pulmonar (5 pacientes), derrame plaural e pneumotórax (5 pacientes) e outras como insuficiência renal aguda, bacteremia, sepse, alergia cutânea, síndrome de Stevens-Johnson e edema de glote. As complicações clínicas nesses pacientes podem provocar lesões neurológicas secundárias, aumentando a morbimortalidade.
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